A WrapAround Case Management Program for Youth Injured by Violence

A WrapAround Case Management Program for Youth Injured by Violence: A Feasibility Study

This is a feasibility study of a WrapAround Case Management Program for Youth Injured by Violence. Youth (aged 10-24) who have been injured by violence and visit the emergency department will be offered a support worker who will provide WrapAround Case Management. This study is designed to assess the feasibility of recruitment, enrollment and follow-up.

Study Overview

• Status: Completed
• Conditions: Intentional Injury
• Intervention / Treatment: Behavioral: WrapAround Case Management

• Study Type: Interventional
• Enrollment (Actual): 8
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Canada
  • Manitoba
    • Winnipeg, Manitoba, Canada, R3P 3E4
      • Winnipeg Health Sciences Centre

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 10 years to 24 years (Child, Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

1. Age 10 - 24 and
2. Presentation to an ED or trauma floor with an injury caused by violence (defined as an injury inflicted by someone else and one of a gunshot wound, stab wound, injury due to blunt object, or injury due to bodily force).

Exclusion Criteria:

1. Unable to consent due to language or brain injury,
2. Sexual assault,
3. Child Abuse
4. Self-Inflicted Injury,
5. Subject is under arrest or
6. Non-resident of Winnipeg.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm

Intervention / Treatment

Experimental: WrapAround Care

Behavioral: WrapAround Case Management; Youth Injured by Violence will be paired with a support worker who has extensive experience working with youth affected by violence.It is important to note that the wraparound concept involves individualized care planning and management. As such, the specific care plan will be different for each participant. Through early intensive meetings, they will develop a mentoring relationship. They will work with the youth to develop a support team, which may include family, teachers, child welfare workers and truly anyone the youth has decided can help them in their path to making positive choices.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
To estimate the recruitment rate of an ED referral program for injured youth	We will evaluate the proportion of eligible patients who are identified for enrolment and any biases in subject identification	6 months

Secondary Outcome Measures

Outcome Measure	Time Frame
To identify barriers to participation in a hospital-based case management program	6 months
To determine the average number of contacts and amount of time required per participant	6 months
To estimate the rates of follow-up among those successfully recruited	6 months
To determine the most appropriate way to notify the case manager of an eligible participant	6 months
To determine the most successful enrollment strategy for retention of participants	6 months
To determine level of engagement between the case manager and youth	6 months
To determine the most appropriate method of follow-up	6 months
To determine the impact in violence-related attitudes and behaviours among participants	6 months
To determine the impact on recurrent intentional injury amongst participants	6 months
To determine the impact on modifiable risk factors	6 months

Collaborators and Investigators

• Sponsor: University of Manitoba
• Investigators: Principal Investigator: Carolyn E Snider, MD MPH, University of Manitoba

Study record dates

Study Major Dates

• Study Start: November 1, 2012
• Primary Completion (Actual): June 1, 2013
• Study Completion (Actual): June 1, 2013

Study Registration Dates

• First Submitted: December 13, 2012
• First Submitted That Met QC Criteria: December 13, 2012
• First Posted (Estimate): December 18, 2012

Study Record Updates

• Last Update Posted (Estimate): July 8, 2013
• Last Update Submitted That Met QC Criteria: July 4, 2013
• Last Verified: July 1, 2013

More Information

Terms related to this study

• Keywords: intervention; injury; emergency department; violence; youth
• Other Study ID Numbers: H2012:133